Refresh Evolution

Complete Laser & Wellness Health Care

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Venus Freeze Consent Form

Venus Freeze Consent Form

  • I hereby authorize a Treatment Professional and/or such assistants as may be selected to perform the following procedure and/or treatment: Venus Freeze I understand that there is a possibility of short-term side effects from the Venus Freeze treatment. I could experience edema (swelling), prolong redness in the area treated, as well as slight heat discomfort/tingling.
  • I acknowledge that patient results may vary depending on many factors including, but limited to, medical history, and individual’s response to treatment; patient compliance with pre and post treatment instructions or changes in medical condition prior to, during or after treatment has been completed. I agree (if required/requested) to the photographing of appropriate portions of my body for medical, scientific or educational purposes, provided they do not reveal my identity. I understand that the Venus Freeze treatment protocol involves a series of treatments with a specific protocol involved along with a fee structure associated to this series.
  • Date Format: MM slash DD slash YYYY
  • ELECTRONIC CONSENT: Please select your choice below. Clicking on the "agree" button below indicates that: • I have read and fully understand this agreement and all information detailed above

Launch Event

October 23rd 7-9pm

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Pitt Meadows Location

Refresh Evolution - Pitt Meadows
#105-10996 Barnston View Road.
Pitt Meadows BC V3Y 0B9
Phone: 778-806-4758

Port Moody Location

Refresh Evolution - Port Moody
86 Kyle Street
Port Moody BC V3H 1Z3
Phone: 778-806-4758

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